Lumicera Health Services is seeking a Client Services Executive, Specialty to join our team!
The Client Services Executive, Specialty supports the strategic and operational needs of...
Due to Growth, we are adding a Manager, 340B Pharmacy Services to our team!
The Manager, 340B Pharmacy Services is responsible for optimizing successful and compliant participation in the federal 340B program for external partners of Lumicera Health System Solutions and Navitus Clients. This role and the team will work cross-functionally with teams at Lumicera and Lumicera-operated pharmacies to deliver value for partners through designing, implementing, and continually improving workflows and processes in scope of the 340B program. In addition, this role will provide subject matter expertise and guidance for Navitus and...
Navitus Health Solutions is seeking a Talent Acquisition Coordinator to join our Human Resources department!
The Coordinator, Talent Acquisition (CTA) will provide front line support for the recruiting function. Reporting to the Sr. Manager, Talent Acquisition, the CTA will assist the HR department in carrying out programs,...
The Senior Client Support Representative is responsible for the overall performance of member services functions for a specific client. They work independently with limited supervision. They execute their role utilizing processes, technology, and customer service skills. They stand ready their client’s members with guidance, knowledge, escalation needs, appropriate overrides and other support functions through direct, proactive support of each member’s needs. A deep understanding of Archimedes culture and mission is vital to the success of this position.
The Senior Client Support Representative is responsible for the overall performance of member services functions for a specific client. They work independently with limited supervision. They execute their role utilizing processes, technology, and customer service skills. They stand ready their client’s members with guidance, knowledge, escalation needs, appropriate overrides and other support functions through direct, proactive support of each member’s needs. A deep understanding of Archimedes culture and mission is vital to the success of this position.
Navitus Health Solutions is seeking a Business Intelligence Developer to join our team!
The Business Intelligence Developer brings together theory and practice to identify and communicate data-driven insights that allow managers, stakeholders, and other executives in the organization to make informed decisions. The Business Intelligence Developer will have an intermediate understanding of the company’s databases, business intelligence (BI) tools, and existing reports and act as a resource in internal and external meetings. A good candidate will be detail oriented, analytical, a skilled communicator, and a quick learner with experience in analytics, data...
Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost.
We are a rapidly growing leader in the specialty drug benefit management space. We are looking for a Senior Director of Operations to oversee work on-site in our Brentwood,...
Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost.
We are a rapidly growing leader in the specialty drug benefit management space. We are looking for a Senior Director of Operations to oversee work on-site in our Brentwood,...
The Director, Software Engineering provides strategic, architectural, and operational leadership for enterprise software development initiatives, with a strong emphasis on data engineering, cloud architecture, SaaS product development, and DevOps automation. This role oversees multiple engineering teams responsible for building enterprise applications and SaaS platforms using .NET Core, MVC, React, AngularJS, and modern frameworks, while ensuring adherence to agile methodologies and industry best practices.
The Director, Software Engineering establishes standards for API development (SOAP/REST), CI/CD pipelines, automated testing, and infrastructure automation, and drives architectural decisions that...
Navitus Health Solutions is seeking a Sr. Account Manager - Health Plans to join our team!
The Sr. Account Manager will be part of an account team that values our client relationships and operational excellence and will play an integral role as the face of our organization to clients daily. The Sr. Account Manager will be responsible for leading projects and operational ownership for some of our most complex and strategic client accounts. The Sr. Account Manager will be responsible for the operational execution of client strategies and plan design and serve as the voice of the customer...
The Manager, Contact Center is responsible for overseeing the daily operations of the contact center, ensuring a high level of customer satisfaction, team performance, and service quality. This role leads a team of supervisors, team leads, and member service representatives, driving performance through effective coaching, workforce planning, process improvement, and customer-centric leadership.
Archimedes is a specialty drug management company with an industry-leading technology platform that health plans and employer groups can use to manage specialty drug spend. We are expanding our team and looking for a seasoned professional with a strong background in healthcare analytics. This position will report to the VP of Analytics and will be responsible for the day-to-day importing, exporting, distributing, analyzing, and reporting of healthcare data. Given our growth trajectory, we are looking for a person who can grow with the company, learning new skills and assuming an expanding role.
Navitus Health Solutions is seeking a Sales Analyst to join our team!
The Sales Analyst supports the client acquisition and retention efforts of Navitus by providing professional and timely support to the Sales team while insuring the timely coordination and delivery of sales materials to key advisor relationships. The Sales Analyst participates in critical sales and marketing efforts. Among other job responsibilities, this position supports the maintenance, development, and distribution of a variety of sales collateral needs and works cross-functionally to ensure...
Due to growth, we are adding a Clinical Account Executive to our team!
The Clinical Account Executive...
Navitus Health Solutions is seeking a Clinical Intern to join our team! The Clinical Intern will be a key contributor to the success of our Clinical Engagement Center focused on improving member’s health and wellness via tele-pharmacy and wellness coaching. Under the supervision of a clinician, this individual is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Clinical Intern will assist in the development and execution of additional clinical outreach programs to exceed...
Due to growth, we are adding a Clinical Account Executive to our team!
The Clinical Account Executive at Lumicera Health Services is a remote position responsible for managing and growing relationships with clinic accounts, ensuring a seamless referral and prescription...
Navitus Health Solutions is seeking a Supervisor, Claim Adjudication Operations to join our team!
The Supervisor, Claim Adjudication Operations (CAO) ensures efforts are in alignment with the CAO team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members and pharmacies by accurately administering benefits. This role will plan, design, coordinate and align resources to support the daily activities of the team. The Supervisor, CAO role will work closely with their team to identify, recommend,...
Navitus Health Solutions is seeking a Sr. Quality Improvement Consultant to join our team!
The Sr. Quality Improvement Consultant is an integral part of the Claims Quality Assurance & Testing (QAT) team which performs multiple functions in quality control and quality improvements with a goal to ensure the accuracy of benefit plan configuration in the NavicareRX system for the entire enterprise. They are responsible for ensuring that internal...
Due to growth, we are adding a Product Manager, Innovative Pharmacy Programs to our team!
The Product Manager (PM) will be responsible for managing operations for both existing products and new product development for assigned specialty and strategic products. Working under the direction of the Assoc. Director, Innovative Pharmacy Programs, the PM will manage and coordinate the execution for certain Innovative Pharmacy Programs. The PM will oversee day-to-day activities to...
Navitus Health Solutions is seeking a Business Analyst, FFS Medicaid to join our team!
The Business Analyst, Fee for Service (FFS) Medicaid “BA” will provide Business Analysis support for the development, implementation, and maintenance of various products within the FFS Medicaid Department. The initial product requiring support is the Prescriber Services Module. The scope of this module is to provide timely and accurate member and...
Lumicera Health Services is seeking a Clinical Liaison to join our team!
The Clinical Liaison will focus on integrating patient care and clinical coordination while leading the development, implementation and ongoing monitoring of programs and initiatives between to clinics and Lumicera Health Services.
Is this you? Find out more below!
Navitus Health Solutions is seeking an Analyst, Claims Extract to join our team!
The Analyst, Claims Extract ensures efforts are in alignment with the Claim Adjudication Operations (CAO) team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members, and pharmacies by accurately administering benefits. This role is responsible for the ongoing management of client claims extract processes and will...
Due to growth, we are adding a Government Relations Director to our team!
The Government Relations Director reports to the VP, Government Relations to support a Navitus entity in a defined geographic territory with relation to support compliance and business objectives. The role will partner with internal business entities to understand the intersection of the business functions and goals with the current and future legislative and regulatory environment. The role will be part of a team comprised of analysts and legal counsel.
Due to growth, we are adding a Sr. Manager, EPMO Portfolio Operations to our team!
Lumicera Health Services is seeking a Fulfillment Specialist to join our team!
Under general direction from the Pharmacist-in-Charge, pharmacists, and/or pharmacy technicians in the Specialty Pharmacy, the Fulfillment Specialist (FS) position provides daily support within the fulfillment area. The FS performs packaging, organization, and coordination of shipments that will be shipped to a patient. The FS also assists in receipt and stocking of pharmaceuticals and supplies within the pharmacy. The FS completes routine packing and shipping work between shipments...
Navitus Health Solutions is seeking a Manager, Implementation HP/Strategic Client to join our team!
The Manager, Implementation HP/Strategic Client is responsible for the co-development of long-term implementation and project management strategy for all new Clients assigned to the team for transition support. The position is responsible for the building an early relationship with the clients so they learn to trust us and have confidence that their transition needs will be successfully met as seamlessly as possible. The Manager works with not only the client team members but...
Due to growth, we are adding a Senior Content Editor to join our team!
The Senior Content Editor role designs and owns the architecture for the overall proposal content...
Navitus Health Solutions is seeking a Sales Executive to join our West Coast team!
Due to growth, we are adding a Bilingual Pharmacist, Clinical Consultation to our Specialty Pharmacy Clinical Services department.
Looking to try a role that is not in person with patients? Our pharm tech role works at our state-of-the-art new pharmacy distribution center to pack and ship specialty pharmacy medications to patients around the US.
What can you expect from Lumicera
Due to growth, we are adding a Lead, Change Management to our team!
Due to growth, we are adding a Human Resources Generalist to our team!
This is a Hybrid position out of our Appleton WI locations.
The Human...
Navitus Health Solutions is seeking a Sr. Human Resources Generalist to join our Human Resources department!
This position is Hybrid out of our Madison WI office location.
The Sr. Human Resources Generalist acts as an advisor across the enterprise, supporting and leading HR programs, policies, initiatives and oversees the compliance with federal and state employment regulations. This role provides expert guidance...
Archimedes is a rapidly growing leader in the specialty drug benefit management space. We are looking for a Member Services Representative to work on-site in our Brentwood, TN office. This position is responsible for delivering excellent service to members utilizing processes and technology within a call center. If you are reliable with strong problem-solving and customer service skills, we would love to hear from you
The Data Engineer is responsible for designing, building, and maintaining scalable data pipelines and infrastructure that support enterprise analytics, reporting, and operational data flows. This role plays a critical part in enabling data-driven decision-making across Centene and SPM by ensuring the availability, integrity, and performance of data systems. The Data Engineer collaborates with data scientists, analysts, software developers, and business stakeholders to deliver robust ETL solutions, optimize data storage and retrieval, and implement secure, compliant data architectures in cloud and hybrid environments.
Operating within a healthcare-focused, compliance-heavy landscape, the Data Engineer ensures that data platforms...
Navitus Health Solutions is seeking a Manager, Government Clinical Services to join our team! The Manager, Government Clinical Services provides strategic vision and operational oversight of the department as well as direct management and leadership of clinical staff within the department. The Manager ensures prompt program execution, presents products to external and internal clients, and drives results in support of the corporate strategic plan. The Manager will have responsibility for the required clinical services and for driving outcome analysis initiatives to completion. The Manager, in coordination with the Program Manager of Government Clinical Services, oversees...
The Data Engineer is responsible for designing, building, and maintaining scalable data pipelines and infrastructure that support enterprise analytics, reporting, and operational data flows. This role plays a critical part in enabling data-driven decision-making across Centene and SPM by ensuring the availability, integrity, and performance of data systems. The Data Engineer collaborates with data scientists, analysts, software developers, and business stakeholders to deliver robust ETL solutions, optimize data storage and retrieval, and implement secure, compliant data architectures in cloud and hybrid environments.
Operating within a healthcare-focused, compliance-heavy landscape, the Data Engineer ensures that data platforms...
Due to growth, we are adding a Solutions Architect to our team!
Due to growth, we are adding a Business Analyst II to our team!
The Business Analyst II assists in the alignment of efforts with the Enterprise Project Management Office (EPMO) to...
Navitus Health Solutions is seeking a Sr. Human Resources Generalist to join our Human Resources department!
This position is Hybrid out of our Appleton WI office.
The Sr. Human Resources Generalist acts as an advisor across the enterprise, supporting and leading HR programs, policies, initiatives and oversees the compliance with federal and state employment regulations. This role provides expert guidance...
Due to growth, we are adding a Sr. Product Manager to our team!
Due to growth, we are adding a Human Resources Generalist to our team!
This is a Hybrid position out of our Madison WI
The Human Resources Generalist provides front-line HR...
Navitus Health Solutions is seeking an Analyst, Tech. Operations Government Programs to join our team!
The Analyst, Tech. Operations Government Programs has responsibility for executing Government Programs processes accurately, efficiently, and in compliance with CMS regulations.
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Navitus Health Solutions is seeking an Privacy Analyst II to join our Compliance team!
The Analyst II, Compliance position is responsible for organizing aspects of the Navitus and Lumicera Corporate Compliance and HIPAA Privacy Programs. In addition, the Analyst II is responsible for performing regularly scheduled policy, risk assessment and documentation reviews to ensure adherence with HIPAA Privacy and other regulatory compliance areas. The Analyst II will coordinate breach and disclosure assessment, HHS OCR reporting, tracking and client reporting. The...
Due to growth, we are adding a Clinical Account Executive to our team!
The Clinical Account Executive at Lumicera Health Services is a remote position responsible for managing and growing relationships with clinic accounts, ensuring a seamless referral and prescription management process with a strong clinical focus. This role builds on expertise in specialty pharmacy and client engagement, collaborating...
Navitus Health Solutions is seeking a Clinical Grievance and Appeals Pharmacist to join our team!
The Clinical Grievance and Appeals Pharmacist will be responsible for performing Appeals and Redeterminations, Grievance Quality of Care reviews, perform duties related to Drug Utilization Review including concurrent, retrospective, and prospective components, and serve as a liaison and clinical support the Grievance and Appeals staff for clinical calls...
Archimedes is looking for a Clinical Account Executive (RPh) to join our team located in the Bloomington/Indianapolis Indiana area.
Archimedes is a specialty drug management company with industry-leading technology and services that health plans and employer groups can use to manage specialty drug spend. We are expanding our team and looking for a clinical professional who has specialty drug management experience and a passion for cost management. Given our continued growth trajectory, we are looking for a person who can grow with the company.
This role will be divided into two areas: formulary development...
Navitus Health Solutions is seeking a Pricing and Underwriting Analyst II to join our Lumicera Specialty Pharmacy team! This is a hybrid position in Madison WI!
The Analyst II, Pricing and Underwriting is responsible for supporting the Pricing and Underwriting team with financial price modeling of provider networks, manufacturer rebates, cost of risk, and client administrative fees. The Analyst II will support the growth team with client proposals and will be...
Navitus Health Solutions is seeking a Developer II, Application Systems focusing on Oracle Suites
The Developer II, Application Systems ensures efforts are aligned with IT Enterprise Services to support customer-focused objectives and the IT Vision, a collaborative partner delivering innovative ideas, solutions and services to simplify people’s lives. This role is responsible for development support, design, programming and implementation of custom processes within the framework of various enterprise systems using Microsoft Power Platform to enable Robotic Process Automation. This role will also drive citizen development with the application framework. This role will work directly with business...
Navitus Health Solutions is seeking a Business Intelligence Developer to join our team!
The Business Intelligence Developer will generate and maintain data and analytic solutions that turn data into knowledge. The Business Intelligence Developer should understand how to interpret databases, develop data models within business intelligence (BI) tools and provide maintenance on existing applications.
Is this you? Find out more below!